Clinicopathologic Characteristics of Breast Cancer According to the Infiltrating Immune Cell Subtypes.

Abstract

The clinical significance of immune cell subtypes in breast cancer remains poorly understood. To identify tumor-infiltrating immune cell subtypes in breast cancer and investigate their implications, tissue microarrays were constructed using 334 cases of invasive ductal carcinoma (luminal A type: 162 (48.5%), luminal B type: 96 (28.7%), HER-2 type: 21 (6.3%), and triple negative breast cancer: 55 (16.5%)). Hormone receptors (ER, PR, and HER-2), Ki-67, and immune cell subtype-related proteins (STAT4, STAT6, FOXP3, CD8, CD68, and CD163) were assessed immunohistochemically. The proportion of highly expressed STAT6, FOXP3, CD8, CD68, and CD163 proteins was found to be lowest in luminal A type but highest in the HER-2 type. Additionally, high-level STAT6, FOXP3, CD68, and CD163 protein expression was associated with higher histologic grade. ER negativity was associated with high STAT6, FOXP3, and CD163 expression levels, whereas PR negativity and high Ki-67 labeling index were associated with high CD163 expression. Univariate (p = 0.003) and multivariate Cox (hazard ratio: 2.435, 95% CI: 1.110-5.344, p = 0.049) analyses showed that high CD8 expression is an independent factor associated with shorter disease-free survival. Immune cell subtype-related protein expression is dependent on breast cancer molecular subtypes, and CD8 expression is associated with patient prognosis.

• Authors: Hye Min Kim, Ja Seung Koo
• Journal: International journal of molecular sciences (Int J Mol Sci) Vol. 21 Issue 12 (Jun 22 2020) ISSN: 1422-0067 [Electronic] Switzerland
• PMID: 32580398 (Publication Type: Journal Article)

Chemical References

• Antigens, CD
• Antigens, Differentiation, Myelomonocytic
• Biomarkers, Tumor
• CD163 antigen
• CD68 antigen, human
• FOXP3 protein, human
• Forkhead Transcription Factors
• Receptors, Cell Surface
• Receptors, Estrogen
• Receptors, Progesterone
• STAT6 Transcription Factor
• STAT6 protein, human
• ERBB2 protein, human
• Receptor, ErbB-2

Topics

• Antigens, CD (metabolism)
• Antigens, Differentiation, Myelomonocytic (metabolism)
• Biomarkers, Tumor (metabolism)
• Breast Neoplasms (immunology, metabolism, pathology)
• Carcinoma, Ductal, Breast (immunology, metabolism, pathology)
• Case-Control Studies
• Female
• Follow-Up Studies
• Forkhead Transcription Factors (metabolism)
• Humans
• Lymphocytes, Tumor-Infiltrating (classification, immunology)
• Prognosis
• Receptor, ErbB-2 (metabolism)
• Receptors, Cell Surface (metabolism)
• Receptors, Estrogen (metabolism)
• Receptors, Progesterone (metabolism)
• Retrospective Studies
• STAT6 Transcription Factor (metabolism)
• Survival Rate